FirstHR

Chiropractor Job Description: 6 Templates

Chiropractor job description templates for private practices: associate, clinic director, sports rehab, part-time, and new graduate versions.

Nick Anisimov

Nick Anisimov

FirstHR Founder

Hiring
18 min

Chiropractor Job Description Templates

6 templates by role, with licensure, scope, volume, and non-compete notes.

The first chiropractic practice owner I ever helped with a hire had been running a solo clinic for eleven years and had never written a job description in his life. He wanted an associate. What he handed me was four bullet points and a salary he was not sure he could afford. Three months and two failed hires later, the actual problem turned out to be simple: nothing in his posting told a candidate what the job would feel like on a Tuesday.

Hiring a licensed chiropractor is not like hiring a front desk coordinator. The person you bring in examines, diagnoses, and treats under their own license and their own clinical judgment. Your posting has to carry the credential requirements, the scope boundaries, the real patient volume, and the compensation structure, because every one of those is a place where the deal quietly falls apart later.

At FirstHR, we build for small practices that handle hiring without an HR department, where the owner writes the posting between patients. The six templates below cover the versions of the role most private practices actually hire for. Fill in the bracketed fields, confirm the credential list against your state board, and post.

TL;DR
Six ready-to-use chiropractor job description templates for private practices: Associate, Lead or Clinic Director, Sports and Rehabilitation, Multi-Disciplinary Clinic, Part-Time or Locum, and New Graduate. Each covers state licensure, national board requirements, scope of practice, patient volume with a ramp, and the compensation and restrictive covenant terms candidates read first.

Which Template Should You Use?

Pick the template that matches the role you are actually filling. All six share the same structure and the same license and credential block, but each emphasizes different expectations, credentials, and compensation mechanics. Use this guide to choose.

Associate Chiropractor
The standard practice hire
The flagship version. A treating doctor inside an established practice with patients already scheduled. Covers licensure, scope, documentation, volume expectations, and the base plus incentive structure.
Lead Chiropractor / Clinic Director
Multi-provider practices
For a senior doctor who treats and also owns clinical standards, mentoring, and clinic metrics. Includes an honest partnership or buy-in track section.
Sports and Rehabilitation
Athletic and active patients
Movement assessment, progressive rehabilitation, soft tissue work, return-to-play criteria, and event coverage. Adds post-graduate certification requirements.
Multi-Disciplinary Clinic
Integrated practices
For a chiropractor working alongside medical, therapy, and behavioral health providers. Includes a scope and supervision note and shared documentation standards.
Part-Time or Locum
Coverage and set sessions
For leave coverage, vacation coverage, or fixed weekly sessions. Includes coverage terms, malpractice and credentialing questions, and a classification note.
New Graduate
First job out of school
A mentored role with shadowing, weekly case review, chart review, and a written ramp before production targets apply. Allows license-eligible candidates with a confirmed exam date.
Match the Template to the Role, Not the Title
Chiropractic titles are loose. What matters is the arrangement. Treating an existing schedule inside your practice? Associate. Treating plus owning clinical standards and mentoring? Lead or Clinic Director. Athletic population and rehabilitation programming? Sports and Rehabilitation, often shared with an athletic trainer. Working alongside other licensed providers? Multi-Disciplinary. Covering leave or fixed sessions? Part-Time or Locum. First job out of school? New Graduate, with the ramp written in.

6 Chiropractor Job Description Templates

Download all six as a single Word document or copy them individually. Each follows the same structure: practice overview, position summary, license and credential requirements, clinical responsibilities, schedule and volume, compensation, and how to apply. Confirm the credential list against your state chiropractic board before you post.

Download All 6 Job Description Templates
Associate, lead or clinic director, sports and rehab, multi-disciplinary, part-time or locum, and new graduate. All in one DOCX.

Template 1: Associate Chiropractor

The flagship version and the one most private practices need. A treating doctor inside an established practice, with patients already on the schedule. Covers the credential block, clinical accountabilities, volume expectations with a ramp, and a base plus incentive compensation section.

Associate Chiropractor Job Description
ASSOCIATE CHIROPRACTOR JOB DESCRIPTION
Practice: __ ([City, State])
Reports to: __ (Owner / Clinic Director)
Employment type: [ ] Full-time [ ] Part-time
Schedule: __ (include any evening or weekend clinic hours)
Compensation: Base $_____ per year plus [bonus / collections-based
incentive]. See COMPENSATION below.

ABOUT [PRACTICE NAME]

[Two or three sentences: how long you have been open, your patient mix, your
technique philosophy, and the team the associate will join.]

POSITION SUMMARY

[Practice Name] is hiring an Associate Chiropractor to see patients in our
[city] clinic. You will take histories, examine and evaluate patients, order
and review imaging as appropriate, build and deliver care plans, and perform
adjustments and adjunctive procedures within your license and our state scope
of practice. This is a treating role inside an established practice, not a
practice-building role: patients are scheduled for you.

LICENSE AND CREDENTIAL REQUIREMENTS

Doctor of Chiropractic (D.C.) degree from a program accredited by the
Council on Chiropractic Education
Active, unrestricted chiropractic license in [state]
National Board of Chiropractic Examiners results as your state board
requires (commonly Parts I, II, III and the Part IV practical exam, and in
some states the Physiotherapy examination)
State jurisprudence or law and professional practice examination where
required
Current CPR / basic life support certification
Malpractice coverage: [carried by the practice / carried by the doctor]
X-ray supervisor or operator certification [if this role takes or
supervises radiographs and your state requires it]
Clean background check and no board discipline

KEY RESPONSIBILITIES

PATIENT CARE
Perform new patient consultations, histories, and examinations
Order, take, or review radiographs as appropriate and within scope
Develop, explain, and document individualized care plans
Perform chiropractic adjustments and in-scope adjunctive procedures
Re-examine patients and adjust care plans against measured progress
Refer out when findings fall outside the chiropractic scope of practice
DOCUMENTATION AND COMPLIANCE
Chart every encounter in [EHR] the same day, to payer documentation standards
Support accurate coding and clean claims with the billing team
Follow HIPAA, informed consent, and infection-control procedures
Maintain license, continuing education, and CPR certification in good standing
TEAM AND PATIENT EXPERIENCE
Work with front desk and clinical support staff on scheduling and flow
Participate in report-of-findings and patient education
Attend team huddles and case reviews
Represent the practice at [screenings / community events] as agreed

SCHEDULE AND PATIENT VOLUME

Clinic hours: __
Expected patient visits per day once ramped: ______ (target, reviewed at
[30/60/90] days)
New patient examinations per week: ______
Ramp period: ______ weeks before volume targets apply

QUALIFICATIONS

REQUIRED
Active [state] chiropractic license, or license-eligible with a confirmed
examination date
Comfortable with [diversified / Gonstead / activator / drop table / other]
Clear communication with patients and referral sources
PREFERRED
[Number]+ years treating in a private practice setting
Experience with [rehabilitation, soft tissue work, nutrition, imaging review]
Experience with [EHR name] and with [payer mix]

COMPENSATION AND BENEFITS

Base salary: $_____ per year
Incentive: ____% of personally performed collections above $___ per
month [define collections, timing, and how refunds and write-offs are handled]
Benefits: [health, retirement, paid time off, malpractice, license and board
fees, continuing education stipend and days]
Restrictive covenants: [state whether the written contract will include
confidentiality, non-solicitation, or a non-compete; see your state law]

HOW TO APPLY

Email __ with your resume, license number or examination
status, and a short note on your treatment approach.
[Practice Name] is an equal opportunity employer.

Template 2: Lead Chiropractor / Clinic Director

For a senior doctor who carries a patient schedule and also owns clinical protocols, documentation quality, mentoring, and clinic metrics. Includes a partnership or buy-in track section written to be filled in honestly, including the option of stating that no equity is offered.

Lead Chiropractor / Clinic Director Job Description
LEAD CHIROPRACTOR / CLINIC DIRECTOR JOB DESCRIPTION
Practice: __ ([City, State])
Reports to: __ (Owner)
Employment type: [ ] Full-time
Direct reports: associate chiropractors, chiropractic assistants, front desk
Compensation: Base $_____ per year plus [clinic performance bonus]

POSITION SUMMARY

[Practice Name] is hiring a Lead Chiropractor to treat patients and run the
clinical side of the practice. You will carry your own patient schedule while
setting clinical standards, mentoring associates, owning documentation quality,
and keeping the clinic compliant and on plan. This role suits an experienced
doctor of chiropractic who wants clinical leadership and a defined path toward
[partnership / equity / profit share], if offered.

LICENSE AND CREDENTIAL REQUIREMENTS

Doctor of Chiropractic (D.C.) degree from a program accredited by the
Council on Chiropractic Education
Active, unrestricted chiropractic license in [state]
National Board of Chiropractic Examiners results as your state board
requires (commonly Parts I, II, III and the Part IV practical exam, and in
some states the Physiotherapy examination)
State jurisprudence or law and professional practice examination where
required
Current CPR / basic life support certification
Malpractice coverage: [carried by the practice / carried by the doctor]
X-ray supervisor or operator certification [if this role takes or
supervises radiographs and your state requires it]
Clean background check and no board discipline

KEY RESPONSIBILITIES

CLINICAL LEADERSHIP
Set and enforce clinical protocols, care plan standards, and referral criteria
Review associate documentation and provide structured feedback
Onboard and mentor new doctors and chiropractic assistants
Lead case reviews and technique training
DIRECT PATIENT CARE
Carry a patient schedule of approximately ______ visits per day
Handle complex and referred cases
Perform new patient examinations and reports of findings
OPERATIONS AND COMPLIANCE
Own schedule design, clinic flow, and provider capacity planning
Partner with billing on coding accuracy, denials, and documentation audits
Maintain HIPAA, OSHA, radiographic safety, and state board compliance
Track clinic metrics: new patients, visits, retention, collections, no-shows

QUALIFICATIONS

REQUIRED
Active [state] chiropractic license in good standing
[Number]+ years of full-time practice
Demonstrated ability to coach other clinicians
Working knowledge of chiropractic documentation and coding standards
PREFERRED
Prior clinic director, lead doctor, or multi-provider experience
Post-graduate certification [sports, rehabilitation, radiology, nutrition]

COMPENSATION, TRACK, AND BENEFITS

Base salary: $_____ per year
Bonus: tied to [clinic collections / net revenue / retention], paid [monthly /
quarterly], calculated as __
Partnership or buy-in track: [describe honestly, including the earliest review
date and what a buy-in would actually require, or state clearly that no equity
is offered]
Benefits: [health, retirement, paid time off, malpractice, license fees,
continuing education stipend and days]

HOW TO APPLY

Email __ with your resume and a short summary of the
clinic results you have driven.
[Practice Name] is an equal opportunity employer.

Template 3: Sports and Rehabilitation Chiropractor

For practices serving athletic and active patients. Adds movement assessment, progressive rehabilitation programming, return-to-play criteria, event coverage terms, and post-graduate certification requirements on top of the standard credential block.

Sports and Rehabilitation Chiropractor Job Description
SPORTS AND REHABILITATION CHIROPRACTOR JOB DESCRIPTION
Practice: __ ([City, State])
Reports to: __ (Owner / Clinic Director)
Employment type: [ ] Full-time [ ] Part-time
Compensation: Base $_____ per year plus [incentive]

POSITION SUMMARY

[Practice Name] is hiring a Sports and Rehabilitation Chiropractor to treat
athletic and active patients. You will assess movement and injury, build
progressive rehabilitation plans, deliver adjustments and soft tissue work
within your license, and coordinate return-to-play decisions with coaches,
trainers, and referring providers. This role is a fit for a doctor of
chiropractic with post-graduate sports or rehabilitation training.

LICENSE AND CREDENTIAL REQUIREMENTS

Doctor of Chiropractic (D.C.) degree from a program accredited by the
Council on Chiropractic Education
Active, unrestricted chiropractic license in [state]
National Board of Chiropractic Examiners results as your state board
requires (commonly Parts I, II, III and the Part IV practical exam, and in
some states the Physiotherapy examination)
State jurisprudence or law and professional practice examination where
required
Current CPR / basic life support certification
Malpractice coverage: [carried by the practice / carried by the doctor]
X-ray supervisor or operator certification [if this role takes or
supervises radiographs and your state requires it]
Clean background check and no board discipline
ADDITIONAL CREDENTIALS FOR THIS ROLE
Post-graduate sports or rehabilitation certification [as applicable]
Certification in [soft tissue technique / dry needling], if your state board
permits that procedure within the chiropractic scope of practice

KEY RESPONSIBILITIES

Perform sports-focused examinations, movement screens, and functional testing
Diagnose and treat athletic and repetitive-strain injuries within scope
Build and progress rehabilitation and corrective exercise programs
Deliver adjustments and in-scope adjunctive and soft tissue procedures
Set and document return-to-play criteria
Coordinate with athletic trainers, coaches, physical therapists, and
referring physicians
Provide [event coverage / team sideline coverage] at ______ events per season
Document all care in [EHR] to payer and referral standards

QUALIFICATIONS

REQUIRED
Active [state] chiropractic license
Rehabilitation or sports background in a clinical setting
Confidence working alongside other rehabilitation providers
PREFERRED
Post-graduate sports certification or residency
Experience with [athletic populations you serve]
Experience with functional movement assessment tools

SCHEDULE, VOLUME, AND EVENT WORK

Clinic hours: __
Evening and weekend coverage: __
Expected patient visits per day once ramped: ______
Event or team coverage: ______ per [month / season], paid as

COMPENSATION AND BENEFITS

Base salary: $_____ per year
Incentive: ____% of personally performed collections above $___
Benefits: [health, retirement, paid time off, malpractice, license fees,
continuing education stipend and days, certification support]

HOW TO APPLY

Email __ with your resume, license status, and your sports
or rehabilitation credentials.
[Practice Name] is an equal opportunity employer.

Template 4: Chiropractor (Multi-Disciplinary Clinic)

For an integrated clinic where the chiropractor works alongside medical providers, therapists, or behavioral health. Includes shared documentation standards, interdisciplinary case conference duties, and a scope and supervision note about practicing under one's own license.

Chiropractor Job Description (Multi-Disciplinary Clinic)
CHIROPRACTOR JOB DESCRIPTION (MULTI-DISCIPLINARY CLINIC)
Clinic: __ ([City, State])
Reports to: __ (Clinic Director / Medical Director / Owner)
Employment type: [ ] Full-time [ ] Part-time
Compensation: Base $_____ per year plus [incentive]

POSITION SUMMARY

[Clinic Name] is hiring a Chiropractor to work inside a multi-disciplinary team
alongside [medical providers, physical therapists, massage therapists, nurse
practitioners, behavioral health]. You will manage the chiropractic side of
shared patient cases, contribute to combined care plans, and document to the
standard the whole clinic and its payers require.

LICENSE AND CREDENTIAL REQUIREMENTS

Doctor of Chiropractic (D.C.) degree from a program accredited by the
Council on Chiropractic Education
Active, unrestricted chiropractic license in [state]
National Board of Chiropractic Examiners results as your state board
requires (commonly Parts I, II, III and the Part IV practical exam, and in
some states the Physiotherapy examination)
State jurisprudence or law and professional practice examination where
required
Current CPR / basic life support certification
Malpractice coverage: [carried by the practice / carried by the doctor]
X-ray supervisor or operator certification [if this role takes or
supervises radiographs and your state requires it]
Clean background check and no board discipline

KEY RESPONSIBILITIES

SHARED CARE
Evaluate referred patients and define the chiropractic portion of the plan
Participate in interdisciplinary case conferences
Communicate findings and progress to the referring provider in writing
Refer patients back or out when the case leaves the chiropractic scope
DIRECT CARE
Perform histories, examinations, and in-scope diagnostic review
Deliver adjustments and in-scope adjunctive procedures
Re-examine and progress or discharge patients against objective measures
COMPLIANCE AND DOCUMENTATION
Document in the shared [EHR] to clinic and payer standards
Support accurate coding and medical necessity documentation
Follow HIPAA, consent, and clinic-wide compliance procedures
Respect the boundary between chiropractic scope and other licensed scopes

SCOPE AND SUPERVISION NOTE

Chiropractic scope of practice is defined by state statute and the state
chiropractic board. In a multi-disciplinary setting, the chiropractor practices
under their own license and scope, not under another provider's license.
Corporate practice of medicine rules, fee-splitting rules, and referral rules
also vary by state. Have a healthcare attorney review the clinic structure and
this role before you post it.

QUALIFICATIONS

REQUIRED
Active [state] chiropractic license
Comfortable documenting for a mixed payer and referral audience
Collaborative, evidence-informed approach to care
PREFERRED
Prior experience in an integrated or multi-disciplinary clinic
Experience with [personal injury / workers compensation / Medicare] cases

COMPENSATION AND BENEFITS

Base salary: $_____ per year
Incentive: __ [define the measure precisely]
Benefits: [health, retirement, paid time off, malpractice, license fees,
continuing education stipend and days]

HOW TO APPLY

Email __ with your resume and license status.
[Clinic Name] is an equal opportunity employer.

Template 5: Part-Time or Locum Chiropractor

For leave coverage, vacation coverage, or a fixed number of weekly sessions. Includes coverage dates, session terms, malpractice and tail coverage questions, payer credentialing, and a classification note, since short-term coverage is where the employee versus contractor question usually surfaces.

Part-Time or Locum Chiropractor Job Description
PART-TIME / LOCUM CHIROPRACTOR JOB DESCRIPTION
Practice: __ ([City, State])
Reports to: __ (Owner / Clinic Director)
Engagement: [ ] Part-time employee [ ] Locum coverage, ______ to ______
Days and hours: __
Compensation: $_ per [hour / day / shift]

POSITION SUMMARY

[Practice Name] is looking for a Chiropractor to cover [set weekly sessions /
owner leave / parental leave / vacation coverage] at our [city] clinic. You
will treat an existing patient schedule using our protocols, chart in our
system, and hand off cleanly at the end of each session or coverage period.

LICENSE AND CREDENTIAL REQUIREMENTS

Doctor of Chiropractic (D.C.) degree from a program accredited by the
Council on Chiropractic Education
Active, unrestricted chiropractic license in [state]
National Board of Chiropractic Examiners results as your state board
requires (commonly Parts I, II, III and the Part IV practical exam, and in
some states the Physiotherapy examination)
State jurisprudence or law and professional practice examination where
required
Current CPR / basic life support certification
Malpractice coverage: [carried by the practice / carried by the doctor]
X-ray supervisor or operator certification [if this role takes or
supervises radiographs and your state requires it]
Clean background check and no board discipline

KEY RESPONSIBILITIES

Treat scheduled patients according to existing care plans
Perform new patient examinations when scheduled
Chart every encounter in [EHR] before leaving for the day
Follow practice protocols, consent, and safety procedures
Communicate handoffs, red flags, and plan changes in writing
Escalate anything outside the chiropractic scope of practice

COVERAGE TERMS

Coverage dates: to
Sessions: ______ per week, ______ hours each
Expected visits per session: ______
Malpractice: [carried by the practice / carried by the doctor; confirm the
policy covers locum work and whether tail coverage is needed]
Credentialing: [state whether payer credentialing is required and who handles
it, and how long it takes]

QUALIFICATIONS

REQUIRED
Active [state] chiropractic license in good standing
Ability to pick up an existing schedule with minimal ramp
Same-day documentation discipline
PREFERRED
Prior locum or coverage experience
Familiarity with [EHR name]

CLASSIFICATION NOTE

Part-time coverage doctors are frequently misclassified. Whether this person is
a W-2 employee or an independent contractor depends on the working relationship
under federal and state tests, not on preference or on what the agreement is
titled. Some states apply a stricter test than federal law. Confirm the
classification before the first shift.

HOW TO APPLY

Email __ with your resume, license number, and the dates
you are available.
[Practice Name] is an equal opportunity employer.

Template 6: New Graduate Chiropractor

For a first job out of a Doctor of Chiropractic program. Built as a mentored role: shadowing, weekly case review, chart review, technique coaching, and a written ramp before production targets apply. Allows license-eligible candidates with a confirmed examination date.

New Graduate Chiropractor Job Description
NEW GRADUATE CHIROPRACTOR JOB DESCRIPTION
Practice: __ ([City, State])
Reports to: __ (Owner / Lead Chiropractor)
Employment type: [ ] Full-time
Compensation: Base $_____ per year plus [incentive after ramp]

POSITION SUMMARY

[Practice Name] is hiring a New Graduate Chiropractor. This is a mentored role
built for a recent Doctor of Chiropractic graduate: you will treat patients from
day one with structured supervision, weekly case review, and a defined ramp
before volume or production targets apply. We are hiring for judgment, work
ethic, and communication, not for a book of business you do not have yet.

LICENSE AND CREDENTIAL REQUIREMENTS

Doctor of Chiropractic (D.C.) degree from a program accredited by the
Council on Chiropractic Education
Active, unrestricted chiropractic license in [state]
National Board of Chiropractic Examiners results as your state board
requires (commonly Parts I, II, III and the Part IV practical exam, and in
some states the Physiotherapy examination)
State jurisprudence or law and professional practice examination where
required
Current CPR / basic life support certification
Malpractice coverage: [carried by the practice / carried by the doctor]
X-ray supervisor or operator certification [if this role takes or
supervises radiographs and your state requires it]
Clean background check and no board discipline
NOTE FOR RECENT GRADUATES
We will consider candidates who are license-eligible with a confirmed board or
state examination date. Employment starts once the [state] license is issued.

WHAT THE MENTORSHIP INCLUDES

______ weeks of shadowing and co-treating before an independent schedule
Weekly one-on-one case review with [Lead Chiropractor / Owner]
Documentation review on every chart for the first ______ weeks
Technique coaching in [techniques used in this practice]
Coaching on report of findings, patient communication, and retention
A written 30/60/90 day plan with clear expectations at each stage

KEY RESPONSIBILITIES

Perform histories, examinations, and in-scope diagnostic review
Deliver adjustments and in-scope adjunctive procedures under mentorship
Build, explain, and document care plans
Chart every encounter the same day in [EHR]
Refer out when findings fall outside chiropractic scope
Meet the ramp milestones set in the 30/60/90 day plan

QUALIFICATIONS

REQUIRED
Doctor of Chiropractic degree from an accredited program
Active [state] license, or license-eligible with a confirmed examination date
Coachable, organized, and genuinely interested in patient communication
PREFERRED
Clinical internship or preceptorship in a private practice
Exposure to [rehabilitation / soft tissue / imaging review]

RAMP AND EXPECTATIONS

Weeks 1 to ______: shadowing, co-treating, documentation review
Weeks ______ to ______: independent schedule at ______ visits per day
From week ______: full schedule at ______ visits per day, incentive begins

COMPENSATION AND BENEFITS

Base salary: $_____ per year during the ramp
Incentive: begins [month/quarter], calculated as __
Benefits: [health, retirement, paid time off, malpractice, license and board
fees, continuing education stipend and days]

HOW TO APPLY

Email __ with your resume, graduation date, and license or
examination status.
[Practice Name] is an equal opportunity employer.

What Is a Chiropractor Job Description?

A chiropractor job description is a document that defines the clinical role, the license and credentials required to hold it, the patient volume expected, and the compensation offered. For a licensed profession it does more work than a normal posting, because it also has to draw the boundary between practice protocols and independent clinical judgment.

Once someone is hired, the same document becomes the reference point for the offer letter, the written employment agreement, and the first performance review. That is why the responsibilities section should read as clinical accountabilities rather than a task list. Examination, diagnosis, care planning, documentation, and referral out are accountabilities. Rooming patients is a task.

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Licensure and Board Exam Requirements

Every practicing chiropractor in the United States holds a license issued by a state chiropractic board, and the requirements are set state by state rather than federally. The common core is a Doctor of Chiropractic degree from an accredited program, passing results on the national board examinations, a background check, and in most states a state law or jurisprudence examination.

The national examinations are administered by the National Board of Chiropractic Examiners. Part I covers basic science areas, Part II covers clinical science areas, Part III assesses application of knowledge across clinical competency areas, and Part IV is a practical examination of clinical skills. A single-subject Physiotherapy examination is offered as well and is required in some states. Critically, the national board does not issue licenses. It writes and scores the examinations; the state board reviews the file and grants the license.

State variation is real and it is not cosmetic. The Texas Board of Chiropractic Examiners requires Parts I, II, III, IV and Physiotherapy, a jurisprudence examination passed at 75 percent or better, and a criminal background investigation, and it states plainly that it has no reciprocity with any other state or country. California similarly requires the national board parts plus Physiotherapy and its own California Chiropractic Law Examination, and a doctor who takes or supervises x-rays there also needs a separate state x-ray supervisor and operator permit. Build your credential list from your own board site, not from a national template.

Credential itemWho sets itWhat to require in the posting
Doctor of Chiropractic degreeAccrediting body and state boardDegree from an accredited program, verified at offer
National board examinationsNational Board of Chiropractic ExaminersThe parts your state board relies on, plus Physiotherapy where required
State licenseState chiropractic boardActive and unrestricted in your state, or license-eligible with a confirmed exam date
Jurisprudence or law examState boardPassed, where your state requires it
Imaging certificationState agency or boardRequired only if the role takes or supervises radiographs
CPR or basic life supportPractice policy and state rulesCurrent certification at start and maintained

Two practical notes for the posting itself. First, accept license-eligible candidates with a confirmed examination date if you want access to new graduates, but state that employment begins when the license issues. Second, verify the license directly on the board site before the first patient day, and again at each renewal, rather than relying on a copy the candidate emailed you.

Scope of Practice in the Posting

Chiropractic scope of practice is defined by state statute and interpreted by the state board, and it varies more between states than most employers expect. The job description should describe duties in scope-safe language and leave the specifics to a line that points at your own state law.

Confirm Scope Before You List a Duty
Procedures that sit comfortably inside chiropractic scope in one state are restricted or prohibited in another. Physiotherapy modalities, dry needling, nutritional counseling, certain diagnostic procedures, and taking or supervising radiographs are all common examples. Listing a duty your state does not permit creates board risk for the doctor and liability risk for the practice. Write duties as within your license and our state scope of practice, and confirm each specific procedure with your state chiropractic board or a healthcare attorney before you post.

Scope also runs the other direction. A chiropractor practices under their own license, not under another provider's, including inside a multi-disciplinary clinic. If your clinic mixes licensed professions, the posting should say who the doctor coordinates with rather than implying they work under someone else's authority. That distinction protects the arrangement and reassures serious candidates.

Chiropractor Duties and Responsibilities

Chiropractor duties group into four areas. A good posting picks the specific accountabilities from each that apply to your setting, rather than listing every procedure a chiropractor could theoretically perform.

Examination and diagnosis
Take histories and perform examinations
Order or review imaging within scope
Reach a working diagnosis and rule out red flags
Treatment
Perform chiropractic adjustments
Deliver in-scope adjunctive procedures
Build and progress care plans
Documentation
Chart every encounter the same day
Document medical necessity for payers
Support accurate coding with billing
Compliance and referral
Follow HIPAA and consent procedures
Maintain license, CE, and CPR status
Refer out when a case leaves scope

Documentation deserves more space in the posting than most practices give it. Charting quality drives claim outcomes, and a doctor who charts three days late will cost you more than the visits they add.

Patient Volume Expectations

State patient volume in the job description, and derive the number from your own schedule rather than from an industry figure you read somewhere. The honest number is what your clinic currently produces per provider per day, adjusted for how long a new doctor takes to fill a schedule.

Volume expectations are where I have watched associate hires fall apart most often. The owner pictures a full schedule, the associate pictures a reasonable one, neither writes anything down, and by month three both sides feel misled. Four inputs make the expectation concrete and defensible.

Start from your own schedule, not a benchmark
Pull your last full quarter: visits per provider per day, average appointment length, no-show rate, and how many slots the front desk actually fills. The number you can honestly promise a candidate is the number your schedule already produces, minus the ramp.
Separate new patient exams from follow-up visits
A new patient examination and report of findings eats far more chair time than an adjustment. State both numbers in the posting. A doctor who hears twenty-five visits a day and then discovers six of them are new patient workups will feel misled by week two.
Put the ramp in writing
Nobody hits full volume in week one, and a new graduate will not hit it for months. Write the ramp into the job description and the offer: what volume applies at thirty, sixty, and ninety days, and when any production incentive starts counting.
Tie the incentive to a measure you can both audit
Personally performed collections is the most common measure and the most argued about. Define what counts, when it is credited, and how refunds, write-offs, and prepaid care plans are handled. Vague incentive language is the single fastest route to a resentful associate.

The Bureau of Labor Statistics Occupational Outlook Handbook notes that most chiropractors work full time, that part-time work is common, and that schedules often include evenings or weekends to accommodate patients. If your clinic runs a Tuesday evening block or Saturday mornings, put that in the posting rather than in the second interview.

Associate Track vs Partner Track

Decide before you post whether this role has an ownership path, and then say so plainly. Vague partnership language is the recruiting mistake I see repeated most in practice hiring, and it produces exactly the resentment it was meant to avoid.

An associate track is a straightforward employment role: base salary, production incentive, benefits, no equity. A partner track means a defined path to ownership with a stated review point and a real valuation method. Both are legitimate. What fails is the middle position, where an owner hints at partnership someday to close a candidate who then spends two years waiting for a conversation that never gets scheduled.

ElementAssociate trackPartner track
Core offerBase salary plus production incentiveBase plus incentive, plus a defined ownership path
EquityNoneStated percentage or buy-in structure
Review pointAnnual compensation reviewA named date when the buy-in is evaluated
ValuationNot applicableMethod agreed in writing before the associate starts
Decision rightsClinical judgment within practice protocolsDefined role in clinic or business decisions
What to writeState clearly that no equity is offeredState the trigger, the method, and who pays for the valuation

If you are open to partnership but not ready to commit, write the honest version: no ownership is offered at hire, and any future discussion would follow a stated performance and tenure milestone. Candidates respect that far more than a promise with no mechanism behind it, and it keeps your employment agreement consistent with what you said during recruiting.

The Non-Compete Question

There is currently no federal ban on non-competes in effect, so enforceability is a state law question. The Federal Trade Commission rule that would have voided most existing non-competes nationwide was set aside by a federal court before it took effect, the agency later dropped its appeals and acceded to the vacatur, and the rule was removed from the Code of Federal Regulations in a subsequent rulemaking. The agency has said it continues to look at specific non-compete practices case by case under its general authority.

That leaves the practical question entirely with your state. Verify the current position on the FTC non-compete rule page and then read your own statute, because the state landscape has been moving quickly and healthcare gets treated differently in several states.

Read the Statute Before You Draft Anything
A handful of states, including California, Minnesota, North Dakota, and Oklahoma, treat nearly all employee non-competes as void. Another group enforces them only above a wage threshold or with strict duration and geography limits. Several states have added healthcare-specific caps, and the covered professions are named individually. Texas, for example, capped healthcare non-competes at one year and a five-mile radius with a buyout limit, and the statute names physicians, dentists, nurses, and physician assistants. Chiropractors are not on that list. Never assume a healthcare carve-out covers a doctor of chiropractic. Have an employment attorney confirm your state before you draft.

For most small practices, the sharper instrument is not a non-compete at all. Confidentiality and patient non-solicitation clauses protect what an owner actually worries about, which is the associate leaving with the patient list, and they survive scrutiny in more states than a broad non-compete does. Our guide to the non-compete agreement covers the state-by-state picture and the alternatives in detail.

Whatever you decide, signal it in the job description. Candidates who will not sign a restrictive covenant should learn that in week one, not after you have invested a month in them.

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Pay and Employment Classification

Publish a base salary range and the incentive terms in the posting itself. Anchor the range to federal wage data, then adjust for your market and the structure of the role.

Chiropractor Pay and Outlook
According to the Bureau of Labor Statistics Occupational Employment and Wage Statistics survey (May 2024), the median annual wage for chiropractors was $79,000. The lowest 10 percent earned less than $44,780 and the highest 10 percent earned more than $149,990. Separately, the BLS Occupational Outlook Handbook reports that chiropractors held about 57,200 jobs in 2024, projects employment to grow 10 percent from 2024 to 2034, much faster than average, and projects about 2,800 openings each year over the decade (U.S. Bureau of Labor Statistics).

The spread between the tenth and ninetieth percentile is enormous because practice owners and salaried associates sit at opposite ends of the same occupation code. For an associate posting, the lower half of that range plus a defined incentive is the realistic frame.

Classification is the second half of the pay question, and two decisions matter. The first is employee versus contractor. In most private practice arrangements the associate is a W-2 employee, because the practice controls the schedule, the space, the patient assignment, and the protocols. Preference does not decide it, and neither does the title on the agreement. Our guide to independent contractor status walks through the tests, and some states apply a stricter one than federal law.

The second is exempt versus non-exempt. The federal regulation that waives the salary requirement for the practice of medicine, at 29 CFR 541.304, names medical doctors, osteopathic physicians, podiatrists, dentists, and optometrists. Chiropractors are not on that list. The practical consequence is that you should plan to satisfy the standard learned professional test, including the salary basis and the federal salary threshold of $684 per week ($35,568 a year), and check whether your state sets a higher floor. Our guide to exempt versus non-exempt explains the tests, and this is a good question for your employment counsel rather than a judgment call.

Hiring a Chiropractor for a Small Practice

Most chiropractic hiring happens in practices without an HR department, where the owner is also the lead clinician and the recruiter. That changes what a good posting has to do. Three realities shape it.

Your associate is a licensed independent practitioner, not a technician
A chiropractor examines, diagnoses, and treats under their own license. You cannot write the job description as a task list the way you would for a front desk role, and you cannot direct clinical judgment the way you would direct an assistant. Write the responsibilities as clinical accountabilities: examination, diagnosis, care planning, documentation, referral out. Then state your practice protocols separately, as protocols, so the doctor knows where your standards end and their clinical judgment begins.
The posting has to answer the money question honestly
Candidates coming out of chiropractic programs are usually carrying significant student debt and they read compensation sections closely. A base with a vague bonus attached reads as a base. If you offer a production incentive, state the percentage, the threshold, and the measure in the posting itself, not in a second conversation. If you cannot yet afford a strong base, say what else the role gives: mentorship, a full schedule from day one, or a real path toward more responsibility.
The restrictive covenant conversation happens too late
Practices routinely spend weeks recruiting and then surprise the candidate with a non-compete at the contract stage. That is where offers die. Signal in the job description that the written agreement will include confidentiality and, where lawful, non-solicitation or a non-compete, and give the general shape. Candidates who will not sign anything self-select out early, and the ones who continue are negotiating on known terms instead of feeling ambushed.

The same honesty helps when you build the rest of the team around the doctor. A front desk coordinator and a clinical assistant determine how much of the doctor's day is spent treating rather than charting and scheduling. Applicant tracking is coming soon to FirstHR.

From Hiring to Onboarding

The job description is step one. Once a candidate accepts, it becomes the basis for the offer letter, the written employment agreement, and the onboarding plan. A licensed clinician needs verification steps that a normal hire does not, and several of them take longer than the candidate's notice period.

Send the offer letter
Turn the description into a formal offer with title, base, incentive terms, start date, and at-will language, then follow with the written employment agreement.
Verify license and credentials
Confirm the active license on the state board site, plus CPR and any imaging certification. Start payer credentialing early; it often outlasts the notice period.
Collect paperwork and agreements
New hire paperwork, confidentiality and restrictive covenant agreements where lawful, HIPAA acknowledgment, and malpractice confirmation, all signed and stored.
Train on protocols and documentation
Walk through your clinical protocols, EHR, coding and charting standards, and referral criteria, then set the written thirty, sixty, and ninety day ramp.

A structured first ninety days is what turns a promising associate into a doctor your patients ask for by name. FirstHR handles the people side of that: e-signature for the offer letter and the agreements that follow it, plus document management for licenses, certifications, and renewal dates.

From there it is task workflows and an onboarding template for the ramp, training assignments for HIPAA and compliance, and an HRIS with employee profiles so credential expiry never surprises you. Applicant tracking is coming soon to FirstHR.

FirstHR is an onboarding and HR platform, not a payroll provider, so connect your payroll and benefits vendors for those functions and keep the new hire paperwork and onboarding workflow in one system.

Key Takeaways
Chiropractic licensure is set state by state (a Doctor of Chiropractic degree, national board results, a background check, and usually a jurisprudence examination), and the state board, not the national board, grants the license, so passing scores alone do not make a candidate hireable.
Write duties as clinical accountabilities within your license and our state scope of practice, and confirm every specific procedure with your state board.
Derive patient volume from your own schedule data, split new patient examinations from follow-up visits, and put the ramp in writing.
Decide the associate versus partner question before you post, and state plainly when no equity is offered.
No federal non-compete ban is in effect, so state law governs; several states void non-competes entirely and healthcare caps often do not name chiropractors.
BLS reported a May 2024 median annual wage of $79,000 for chiropractors, with the top 10 percent above $149,990.

Frequently Asked Questions

What does a chiropractor do?

A chiropractor is a licensed independent practitioner who examines, diagnoses, and treats neuromusculoskeletal conditions, most often of the spine. The core work is taking a patient history, performing a physical examination, ordering or reviewing imaging where appropriate and permitted, reaching a working diagnosis, building a care plan, and delivering chiropractic adjustments along with adjunctive procedures that fall inside the state scope of practice. A chiropractor also documents every encounter to payer standards, re-examines patients against measurable progress, and refers out when a case falls outside chiropractic scope. In a private practice, the doctor usually carries patient education and retention duties as well, because the report of findings is what turns a first visit into a completed care plan.

What should a chiropractor job description include?

A strong chiropractor job description includes a practice overview, a position summary, license and credential requirements, clinical responsibilities, schedule and patient volume expectations, compensation with the incentive structure spelled out, and how to apply. Because chiropractic is a licensed profession, the credential section is not optional: state the active state license requirement, the Doctor of Chiropractic degree, the national board results your state board requires, CPR certification, and any imaging certification the role needs. Two sections separate a good posting from a generic one. First, real patient volume expectations with a ramp. Second, a clear signal about restrictive covenants, so a candidate learns about a non-compete before the contract stage rather than after.

What license does a chiropractor need?

A chiropractor needs an active license issued by the chiropractic board of the state where the practice is located. Licensure typically requires a Doctor of Chiropractic degree from an accredited program, passing scores on National Board of Chiropractic Examiners examinations, a criminal background check, and in many states a state jurisprudence or law and practice examination. Requirements are set state by state, so the exact combination varies. Texas, for example, requires NBCE Parts I, II, III, IV and Physiotherapy plus a state jurisprudence examination scored at 75 percent or better, and its board states plainly that it has no reciprocity with any other state. Always verify the license on the state board site before the first patient day.

What are the national board exams for chiropractors?

The National Board of Chiropractic Examiners administers the pre-licensure examinations that state boards rely on. Part I covers basic science areas, Part II covers clinical science areas, Part III assesses application of knowledge across clinical competency areas, and Part IV is a practical examination of clinical skills. There is also an optional single-subject Physiotherapy examination that some states require. The board itself does not issue licenses. It produces and scores the examinations, and the state chiropractic board reviews transcripts, scores, and background documentation and then grants the license. That distinction matters for hiring: a candidate can have passing board scores and still not hold a license in your state.

Can I include a non-compete for an associate chiropractor?

It depends entirely on your state, and you should confirm it with an employment attorney before drafting anything. There is no federal non-compete ban in effect. The Federal Trade Commission rule that would have banned most non-competes nationwide was set aside by a federal court, the agency dropped its appeals, and the rule was removed from the Code of Federal Regulations, so non-competes are governed by state law. A handful of states, including California, Minnesota, North Dakota, and Oklahoma, void nearly all employee non-competes. Others enforce them only above a wage threshold or only with specific limits. Some states also cap healthcare non-competes by profession, and chiropractors are not always on the covered list, so read the statute rather than assuming.

What salary should I offer a chiropractor?

Use federal wage data as your floor and then adjust for your market, the role, and your incentive structure. According to the Bureau of Labor Statistics Occupational Employment and Wage Statistics survey (May 2024), the median annual wage for chiropractors was $79,000, with the lowest 10 percent earning less than $44,780 and the highest 10 percent earning more than $149,990. That spread is wide because owner income and associate income sit at opposite ends of it. For an associate role, publish a base salary range plus the incentive terms, including the percentage, the threshold, and exactly what counts toward it. A base with an undefined bonus attached reads to candidates as just the base.

Is an associate chiropractor an employee or an independent contractor?

In most private practice arrangements the associate is a W-2 employee, but classification depends on the actual working relationship under federal and state tests rather than on the title of the agreement. If the practice sets the schedule, provides the space and equipment, assigns the patients, and requires its own protocols and charting standards, that pattern points strongly toward employment. Some states apply a stricter test than federal law does. Get this decision right before the first patient day, because reclassification later brings back pay, tax, and penalty exposure. Locum and coverage arrangements raise the same classification questions on a shorter timeline, so treat short-term coverage with the same care as a full-time hire.

What happens after I hire a chiropractor?

Once the candidate accepts, the job description becomes the basis for the offer letter and the onboarding plan. For a licensed clinician the first steps are verification and paperwork: confirm the active state license and any imaging certification directly with the board, collect CPR certification, confirm malpractice coverage and whether tail coverage is needed, and complete payer credentialing, which can take longer than the notice period at the previous job. Then run normal onboarding: signed offer letter, new hire paperwork, HIPAA and compliance training, EHR and documentation training on your standards, and a written thirty, sixty, and ninety day ramp. Applicant tracking is coming soon to FirstHR.

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